[Translated article] Influence of integrated orthogeriatric care on morbidity and mortality and length of hospital stay for hip fracture

Balvís-Balvís, Patricia; Domínguez-Prado, Diego Matías; Ferradas-Garcia, Lucia; Pérez-García, M.; Garcia-Reza, Alejandro; Castro-Menéndez, M.

doi:10.1016/j.recot.2021.02.007

Cited by 2 publications

(2 citation statements)

References 22 publications

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“…Our study showed that the pre-surgical stay was 48 h before and after implementing the OU, which shows that we are within international standards in HFs surgery 33 . Regarding economic factors, we showed that the establishment of the OU reduced about 30% of the budget allocated to HFs.…”

Section: Discussionsupporting

confidence: 60%

“…Likewise, the Balvis study carried out in Spain to investigate the utility of the OU, demonstrated that mortality during admission decreased from 10% in 2012 to 3.6% in 2017 (p = 0.004), while mortality at 30 days decreased (10.5% vs. 7%) (p = 0.123) and 1 year (28.9% vs. 24.9%) (p = 0.277). In the same study, they also reported a significant reduction in hospital stay time, surgical delay, and post-operative admission 33 , with an estimated total annual economic savings thanks to integrated orthogeriatric care amounts to €1,017,084.94 10 .…”

Section: Discussionmentioning

confidence: 79%

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Hospital indicators of the orthogeriatric unit in older ecuadorian adults with hip fracture

Pillajo-Sánchez,

Suing-Ortega,

Buendía-Gómez de la Torre

2024

LAGM

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Section: Discussionsupporting

confidence: 60%

Section: Discussionmentioning

confidence: 79%

Hospital indicators of the orthogeriatric unit in older ecuadorian adults with hip fracture

Pillajo-Sánchez,

Suing-Ortega,

Buendía-Gómez de la Torre

2024

LAGM

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Evaluation of Hospital Indicators Before and After the Implementation of an Orthogeriatric Unit in Older People with Hip Fracture: 5 Years of Follow-Up

Sánchez

Ortega²,

Torre

2023

Preprint

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Background: In the older population, hip fracture (HF) is considered a serious public health problem worldwide since it increases morbidity and mortality. Objective: analyze hospital indicators of care, sociodemographic, clinical and geriatric variables, before and after the implementation of the Orthogeriatric Unit for older adults with acute phase hip fracture at the Hospital de la Policia No. 1 Quito (HPNQ1). Materials and methods: observational, retrospective, analytical and single-center study completed during the period between January 1, 2012 to December 21, 2017. The sample was a non-probabilistic sample, with 77 participants of 65 years or older admitted with a diagnosis of HF. Information was obtained from the clinical history with confidentiality measures in the handling of information accordingly with the principles of bioethics Results: mean age of participants was 82.51 (SD= 8.51, range 65 – 99), with a ratio of 1.85 females per 1 male. Osteoporosis and polypharmacy were significantly associated with HF. Prior to the creation of the Orthogeriatric Unit, the hospital indicators showed that the average stay was 11 days and after the implementation of the unit this was reduced to an average of only 8 days, and costs decreased by 30% ($13588.22 vs $ 9814.04 before and after the implementation of an Orthogeriatric unit, respectively). Conclusion: the orthogeriatric unit substantially improves hospital indicators, reduces total hospital stay by 50% and costs by 30%.

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[Translated article] Influence of integrated orthogeriatric care on morbidity and mortality and length of hospital stay for hip fracture

Cited by 2 publications

References 22 publications

Hospital indicators of the orthogeriatric unit in older ecuadorian adults with hip fracture

Hospital indicators of the orthogeriatric unit in older ecuadorian adults with hip fracture

Evaluation of Hospital Indicators Before and After the Implementation of an Orthogeriatric Unit in Older People with Hip Fracture: 5 Years of Follow-Up

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